Age as of 9/1/2021:
About Your Address
Please make sure you have entered your address in the appropriate fields at the top of the form, then answer the questions below.
About You: Parent/s - Mother and/or Father
Parent/s' background in early childhood education & experience:
Parent/s' talents, hobbies, or careers to share in the classroom:
Required By First Day of School:
• Georgia Immunization Form #3231 (5 yrs. Forms - #3231 & #3300)
• RUMCK Child's Health Certificate completed by physician/health department
Other information that might be helpful to teachers concerning your child
Separated or Divorced Parent Household Information
If there is a separation or divorce in the family, please complete the section below:
Please describe the custody agreement regarding either parent visiting classes or taking the child from school:
Emergency Contacts/Authorized Individuals To Whom Child May Be Released
Tuition Payments Statement
If my class choice is accommodated, I understand that registration fees, supply fees, and tuition payments are non-refundable. Payment for the May 2022 tuition is due at registration. September's tuition payment is due by May 1, 2021. If September payment is not received by May 10, 2021, your child's placement will be subject to the waiting list.
Please note if RUMCK is unable to accommodate your class choice, you will be contacted.